BRIAN KEITH GACKENBACH

LOUISVILLE, KY
NPI1306229349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: KY  3009514)
Enumeration Date2015-07-08
Last Update Date2015-08-17
Business Address
Mr. BRIAN KEITH GACKENBACH APRN
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-217-1053
Mailing Address
Mr. BRIAN KEITH GACKENBACH APRN
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328
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